Organization Active NPI

Cognitive and Behavioral Health LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Jersey City, NJ
National Provider Identifier
1245766302
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
25M09550500 Issued in NJ
Legal business name
COGNITIVE AND BEHAVIORAL HEALTH LLC
Practice address
142 Palisade Ave
Jersey City, NJ 07306-1133
Phone
(856) 278-4807
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Burnett
Title
Biller
Phone
(856) 278-4807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X 25M09550500 NJ Primary

Addresses

Primary practice location

142 Palisade Ave
Jersey City, NJ 07306-1133

Mailing address

142 Palisade Ave
Jersey City, NJ 07306-1133

Other identifiers 1

IdentifierTypeStateIssuer
1396056065OtherNJNPI

National Provider Directory

National Provider Directory

Locations

142 Palisade Ave
Ste 102
Jersey City, NJ 07306
Phone (201) 653-0506

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1245766302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "856-278-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE AND BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "856-278-4807"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NJ",
            "license": "25M09550500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396056065",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.